Individual
JAMES PASQUALE SANTANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
184 GARVIN RD, HAMDEN, CT 06518-1406
(203) 248-9426
(203) 248-9426
Mailing address
184 GARVIN RD., HAMDEN, CT 06518-1406
(203) 248-9426
(203) 248-9426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0000912
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090000912CT01
ANTHEM BLUE CROSS
CT
01
—
2V8791
HEALTH NET
CT
01
—
3841287
AETNA
CT
01
—
702999
CONNECTICARE
CT
01
—
CT0314
EYEMED
CT
Enumeration date
03/20/2007
Last updated
07/08/2007
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